Advanced Pharmacology

Short term treatment options for asthma in a child include oral corticosteroids, which are often used to gain prompt control of poorly controlled persistent asthma, or when starting long-term therapy.  It is used for short-term (3-10 days) “burst”, broad anti-inflammatory effects.  Long-term control medications include corticosteroids to block late-phase reaction to allergen, reduce airway hyper responsiveness, and inhibit inflammatory cell migration and activation. They are the most potent and effective anti-inflammatory medication currently available. Inhaled corticosteroids (ICSs) are used in the long-term control of asthma. Short courses of oral systemic corticosteroids are often used to gain prompt control of the disease when initiating long-term therapy; long-term oral systemic corticosteroid is used for severe persistent asthma.

Patient education includes teaching parent how to identify triggers, consider a high-efficiency particulate air (HEPA) filter in the bedroom or on the furnace.  Although these interventions may reduce pet allergen levels some, they are much less effective than finding the pet a new home. Control cockroaches.  Respiratory infections should be treated very quickly when you have asthma, as infections are a common trigger for asthma exacerbations. Preventing illness is a priority and frequent hand washing and keeping immunizations up to date are critical. Compliance with the medication regime will not only help control symptoms but will also keep the asthma more manageable overall.

 

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